36 Questions
Which of the following is a symptom in the Urogenital Distress Inventory (UDI-6)?
Frequent urination
What is the scoring range for each item in the Urogenital Distress Inventory (UDI-6)?
0 to 3
In the context of stress incontinence, when might a person experience a leak of urine?
When coughing, sneezing, or laughing
Which medical condition can lead to functional incontinence?
Osteoarthritis
Which of the following symptoms is relevant to the obstetric and gynecological history with respect to urinary incontinence?
Symptoms of pelvic organ prolapse
Which category of medications could worsen urinary incontinence?
Antidepressants
What should be assessed during neurological examination relevant to urinary incontinence?
Cognitive screening and gait assessment
What type of examinations require gaining consent and offering to have a chaperone present?
Rectal examination, vaginal exam, and speculum exam
What initial investigations should be performed for assessing urinary incontinence?
Urinalysis and midstream urine test (MSU)
What is the first-line treatment for urinary incontinence?
Lifestyle management and behavioral therapy
Which further investigations may be considered for assessing urinary incontinence?
Urodynamic testing and cystoscopy
Which blood test is relevant for assessing urinary incontinence?
Full blood count (FBC)
What is the purpose of bladder training?
To decrease the time intervals between voiding
What is the primary action of anticholinergics in managing urinary incontinence?
Blocking muscarinic receptors on the detrusor muscle
What is the recommended first-line management for women with urinary incontinence?
Bladder training and lifestyle management
What is the effect of β3 (beta 3)-agonists in managing urinary incontinence?
Enhancing relaxation of the detrusor muscle
What can exacerbate urinary incontinence and should be managed by increasing fiber intake or considering laxatives?
Constipation
For what type of patients are bulking agents usually reserved in the management of urinary incontinence?
Patients with stress urinary incontinence
What is a symptom complex consisting of urgency (with or without incontinence), nocturia, and frequency of urine, in the absence of a pathology?
Idiopathic overactive bladder
What should be examined in men with urinary incontinence to assess for a potential contributing factor?
Digital rectal examination (DRE)
What is the purpose of pelvic floor muscle training (PFMT)?
To reduce stress urinary incontinence
What should be considered if benign prostatic hyperplasia (BPH) does not respond to medical treatment?
Surgical resection referral to urology
What can be helpful if suspicion of a prostate pathology arises?
DRE and PSA test
What should be used with caution when prescribed due to its potential to precipitate orthostatic hypotension?
BPH targeted therapy
What should be assessed when taking the history of presenting complaint related to incontinence?
History of recurrent urinary tract infections and bowel function
What is a common symptom to inquire about when assessing urgency incontinence?
Frequency of passing urine during the day
What might be indicative of potential urological malignancy?
Dysuria and hematuria
How can alcohol and caffeine intake affect urgency incontinence?
They can increase the frequency of passing urine
What role does mobility play in assessing urgency incontinence?
It affects the person's ability to make it to the toilet in time
What should be determined regarding recurrent urinary tract infections?
Whether they have been microbiologically confirmed infections or diagnosed on symptoms alone
Why is it important to assess bowel function when evaluating incontinence?
Chronic constipation can impede complete bladder voiding
What might indicate a strong urge to pass urine?
Passing urine several times during the day
What could be an indicator of overflow incontinence?
Failing to make it to the toilet in time at night
What is a potential indicator of potential urological malignancy?
Dysuria and hematuria
How might alcohol and caffeine intake affect urgency incontinence?
They can lead to frequent nighttime urination
What role does frequent nighttime urination play in assessing urgency incontinence?
It influences the person's ability to make it to the toilet in time
Assess your knowledge about urgency incontinence by answering questions about its symptoms, such as frequency of passing urine, strong urge to urinate, mobility factors, and nighttime urination.
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